Brenley Deters, PA-C is a medicare enrolled "Physician Assistant" physician in Wentzville, Missouri. Her current practice location is
1060 Meyer Rd, Wentzville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 230-1500.
Brenley Deters is licensed to practice in Missouri (license number 2023010764) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184323586.
Physician's Profile
| Full Name | Brenley Deters |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1060 Meyer Rd, Wentzville, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184323586
- Provider Enumeration Date: 02/24/2023
- Last Update Date: 05/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385000629
- Enrollment ID: I20230511002817
Medical Identifiers
Medical identifiers for Brenley Deters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1184323586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 2023010764 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 2023010764 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenley Deters is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brenley Deters, PA-C 1060 Meyer Rd, Wentzville, MO 63385-3800 Ph: () - | Brenley Deters, PA-C 1060 Meyer Rd, Wentzville, MO 63385-3800 Ph: (314) 230-1500 |
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